CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Dunes Surgical Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,378
Cash Discount Price: $3,567
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Dunes Surgical Hospital is $2,378. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,567. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.01x the Medicare baseline. Located in 600 N Sioux Point Road, Dakota Dunes, SD.

Cash / Self-Pay

$3,567

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,378

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$2,357.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,357.81 (100%)

Cash / Self-Pay: $3,567 (151%)

Insurance Median: $2,378 (101%)

Cash: $3,567 (151% of Medicare)

Ins. Median: $2,378 (101% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,357.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$522 - $2,378	22%
Cigna	$1,750	74%
Midlands Choice	$1,750	74%
Avera Health Plans	$1,875	80%
Multiplan	$1,875	80%
Accountable Healthplan	$2,125	90%
Sanford Health Plan	$2,125	90%
Ne Total Care	$2,378	101%
Siouxland Pace	$2,378	101%
Health Partners	$2,425	103%
Ia Total Care	$2,426	103%
Wellpoint	$2,426	103%
Molina	$2,449	104%
Amerigroup	$2,459	104%
Oscar	$2,830	120%
Blue Cross Blue Shield	$3,004	127%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,567.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 66984.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Dunes Surgical Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 66984.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.